Individual
DR. HANNAH NICOLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5000 W CHAMBERS ST, MILWAUKEE, WI 53210-1650
(414) 527-8191
Mailing address
5000 W CHAMBERS ST, MILWAUKEE, WI 53210-1650
(414) 527-8191
(414) 465-3160
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
UO10698
FL
207V00000X
Obstetrics & Gynecology Physician
Primary
102019-851
WI
Other
Enumeration date
06/09/2025
Last updated
06/21/2026
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